Civic Intelligence

Ephraim Mcdowell Health Care Foundation Inc

EIN 61-1229333 • 501(c)3 • Danville, KY

Profile

The health care foundation's primary mission is to raise, invest and distribute funds in support of the exempt purposes of ephraim mcdowell health, inc.

217 South Third StreetDanville, KY 40422

www.emhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

69th percentile

0.38x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

5.92x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

88th percentile

48%

Higher net margin than 88% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$909,661

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 83.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

88th percentile

29%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

80th percentile

36%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$16,821,257

Up $3,780,079 (+29%) from 2023

Liabilities

Up

$6,437,758

Up $1,310,665 (+26%) from 2023

Net Assets

Up

$10,383,499

Up $2,469,414 (+31%) from 2023

Revenue

Up

$1,086,800

Up $286,978 (+36%) from 2023

Expenses

Up

$559,987

Up $102,627 (+22%) from 2023

Net Income

Up

$526,813

Up $184,351 (+54%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $7,277,374Liabilities 2010: $2,167,206Net Assets 2010: $5,110,1682010Assets 2011: $7,255,969Liabilities 2011: $2,719,535Net Assets 2011: $4,536,4342011Assets 2012: $7,852,465Liabilities 2012: $2,771,520Net Assets 2012: $5,080,9452012Assets 2013: $8,620,253Liabilities 2013: $3,040,157Net Assets 2013: $5,580,0962013Assets 2014: $9,220,565Liabilities 2014: $3,217,805Net Assets 2014: $6,002,7602014Assets 2015: $9,037,922Liabilities 2015: $3,416,694Net Assets 2015: $5,621,2282015Assets 2016: $10,000,979Liabilities 2016: $3,632,283Net Assets 2016: $6,368,6962016Assets 2017: $9,811,943Liabilities 2017: $3,956,854Net Assets 2017: $5,855,0892017Assets 2018: $10,422,626Liabilities 2018: $4,212,278Net Assets 2018: $6,210,3482018Assets 2019: $11,078,887Liabilities 2019: $4,445,675Net Assets 2019: $6,633,2122019Assets 2020: $11,796,899Liabilities 2020: $4,611,816Net Assets 2020: $7,185,0832020Assets 2021: $13,599,337Liabilities 2021: $4,719,895Net Assets 2021: $8,879,4422021Assets 2022: $11,911,106Liabilities 2022: $4,904,670Net Assets 2022: $7,006,4362022Assets 2023: $13,041,178Liabilities 2023: $5,127,093Net Assets 2023: $7,914,0852023Assets 2024: $16,821,257Liabilities 2024: $6,437,758Net Assets 2024: $10,383,4992024

Highlighted filing

2024

Assets$16,821,257
Liabilities$6,437,758
Net Assets$10,383,499

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$1.0M$0-$1.0MExpenses 2010: $985,7362010Revenue 2011: $915,399Expenses 2011: $1,283,458Net Income 2011: -$368,0592011Expenses 2012: $1,065,4132012Revenue 2013: $810,870Expenses 2013: $735,078Net Income 2013: $75,7922013Revenue 2014: $726,900Expenses 2014: $624,492Net Income 2014: $102,4082014Revenue 2015: $723,066Expenses 2015: $534,028Net Income 2015: $189,0382015Revenue 2016: $752,201Expenses 2016: $567,216Net Income 2016: $184,9852016Revenue 2017: $719,490Expenses 2017: $1,578,500Net Income 2017: -$859,0102017Revenue 2018: $695,138Expenses 2018: $447,353Net Income 2018: $247,7852018Revenue 2019: $720,862Expenses 2019: $594,632Net Income 2019: $126,2302019Revenue 2020: $967,159Expenses 2020: $204,265Net Income 2020: $762,8942020Revenue 2021: $1,127,196Expenses 2021: $371,041Net Income 2021: $756,1552021Revenue 2022: $742,298Expenses 2022: $236,001Net Income 2022: $506,2972022Revenue 2023: $799,822Expenses 2023: $457,360Net Income 2023: $342,4622023Revenue 2024: $1,086,800Expenses 2024: $559,987Net Income 2024: $526,8132024

Highlighted filing

2024

Revenue$1,086,800
Expenses$559,987
Net Income$526,813

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.8$6.44$10.4$1.09$0.56$0.53
2023Detailed filing. Detailed filing data is available for this year.$13.0$5.13$7.91$0.80$0.46$0.34
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$4.90$7.01$0.74$0.24$0.51
2021Detailed filing. Detailed filing data is available for this year.$13.6$4.72$8.88$1.13$0.37$0.76
2020Detailed filing. Detailed filing data is available for this year.$11.8$4.61$7.19$0.97$0.20$0.76
2019Detailed filing. Detailed filing data is available for this year.$11.1$4.45$6.63$0.72$0.59$0.13
2018Detailed filing. Detailed filing data is available for this year.$10.4$4.21$6.21$0.70$0.45$0.25
2017Detailed filing. Detailed filing data is available for this year.$9.81$3.96$5.86$0.72$1.58$0.86
2016Detailed filing. Detailed filing data is available for this year.$10.0$3.63$6.37$0.75$0.57$0.18
2015Detailed filing. Detailed filing data is available for this year.$9.04$3.42$5.62$0.72$0.53$0.19
2014Detailed filing. Detailed filing data is available for this year.$9.22$3.22$6.00$0.73$0.62$0.10
2013Summary only. Only limited summary data is available for this year.$8.62$3.04$5.58$0.81$0.74$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.85$2.77$5.08$1.07
2011Summary only. Only limited summary data is available for this year.$7.26$2.72$4.54$0.92$1.28$0.37
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.28$2.17$5.11$0.99
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Nov 1, 2025
Return Version
2023v6.0
Gross Receipts
$2,701,631
Mission and Program Overview

Mission

The health care foundation's primary mission is to raise, invest and distribute funds in support of the exempt purposes of ephraim mcdowell health, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$11,550,078$14,976,886▲ $3,426,808
Savings and Temporary Cash Investments$582,558$820,688▲ $238,130
Pledges and Grants Receivable$54,820$54,820→ $0
Prepaid Expenses and Deferred Charges$3,227$3,227→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$13,041,178$16,821,257▲ $3,780,079
Other Assets Total$850,495$965,636▲ $115,141
Liabilities
Other Liabilities$5,109,330$6,419,393▲ $1,310,063
Accounts Payable and Accrued Expenses$17,763$18,365▲ $602
Total Liabilities$5,127,093$6,437,758▲ $1,310,665
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$7,081,368$9,433,822▲ $2,352,454
Net Assets With Donor Restrictions$832,717$949,677▲ $116,960
Total Net Assets Fund Balance$7,914,085$10,383,499▲ $2,469,414
Total Liabilities and Net Assets / Fund Balance$13,041,178$16,821,257▲ $3,780,079

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$132,500--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$11,550,078$965,037▲ $2,461,771-$14,976,886
2022$10,500,174-▲ $1,049,904-$11,550,078
2021$12,222,462-▼ $1,722,288-$10,500,174
2020$10,477,283-▲ $1,745,179-$12,222,462
2019$9,927,905-▲ $549,378-$10,477,283
Compensation and Service Providers

Employees

NameTitleOtherTotal
Kay RichardsonChair$4,950$4,950

Board Members and Trustees

NameTitle
Daniel MckayPresident / COO
Jon ScalfVice Chair
Chris DavisBoard Member
Damon ThompsonBoard Member
Jennifer NewbyBoard Member
Larry WeathersBoard Member
Sierra LandeBoard Member
Laura D RichardDirector
Libby MayesAvp Community Engagement
Amanda KinmanCFO/treasurer
Tammy EnsslinChief Legal Officer
Jennifer DanielSecretary
Nicholas SpoonmoreVP Strategic
Revenue and Support

Revenue Composition

Contributions and Grants
$370,567
Program Service Revenue
$0
Investment Income
$716,233
Other Revenue
$0
All Other Contributions
$370,567
Change in Net Assets
$526,813

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$237,217
Grants and Similar Amounts Paid$196,875
Total Fundraising Expense$138,286
Salaries, Compensation, and Employee Benefits$125,895
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$196,875--$196,875
Current Officers, Directors, Trustees, and Key Employees-$68,032$29,157$97,189
Fees for Service Investment Mgmnt Fees-$82,750-$82,750
Information Technology-$19,362-$19,362
Other Salaries and Wages-$5,560$12,972$18,532
Office Expenses-$17,259-$17,259
Other Expenses-$16,870$84,686$16,870
Advertising--$7,767$7,767
Payroll Taxes-$4,399$2,518$6,917
Fees for Services Legal-$5,152-$5,152
Other Employee Benefits-$2,071$1,186$3,257
Fees for Services Other$0$2,864$0$2,864
Travel-$457-$457
Conferences and Meetings-$50-$50
Total Functional Expenses$196,875$224,826$138,286$559,987

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ephraim Mcdowell Regional Medical CenterDanville, KY501(c)(3)General Support$76,381
Ephraim Mcdowell Health ResourceDanville, KY501(c)(3)General Support$58,945
Ephraim Mcdowell Health IncDanville, KY501(c)(3)General Support$43,502
James B Haggin Memorial HospitalDanville, KY501(c)(3)General Support$6,219
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$6,419,393
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A PROCESS FOR DETERMINING COMPENSATION

Ephraim mcdowell health care foundation is part of an integrated healthcare delivery system whose parent is ephraim mcdowell health, inc. Compensation for all affiliates is overseen and coordinated through ephraim mcdowell health, inc. The mercer group, independent consultants, conducted a review in 2018 for establishing reasonable compensation of the ceo. For other officers and key employees, the organization also utilized compensation studies. The compensation is approved by the compensation committee of the ephraim mcdowell health, inc. Board of directors. The decision and process is documented by the committee.

Form 990, Part VI, Line 6 Classes of members or stockholders

Ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell health care foundation, inc. Ephriam mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell health care foundation, inc. On an annual basis. The bylaws of ephraim mcdowell health care foundation, inc. Require approval of certain transactions by ephraim mcdowell health, inc.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell health care foundation, inc. Ephriam mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell health care foundation, inc. On an annual basis. The bylaws of ephraim mcdowell health care foundation, inc.require approval of certain transactions by ephraim mcdowell health, inc.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Ephraim mcdowell health, inc. Is the sole corporate member of ephraim mcdowell health care foundation, inc. Ephriam mcdowell health, inc., a related 501(c)(3) entity, is the parent organization of an integrated healthcare delivery system. Ephraim mcdowell health, inc. Elects board members of ephraim mcdowell health care foundation, inc. On an annualbasis. The bylaws of ephraim mcdowell health care foundation, inc.require approval of certain transactions by ephraim mcdowell health, inc.

Form 990, Part VI, Line 11B Review of form 990 by governing body

Copies of the form 990 are submitted to the full board via email prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

Annually, board of directors, senior leadership, and medical staff leaders complete a conflict of interest questionnaire. Completion of the annual questionnaire is coordinated by general counsel and ephraim mcdowell's corporate compliance officer. The completed questionnaires are reviewed by the senior leadership and the corporate compliance officer. The chairman of the board of directors is made aware of conflicts which have been disclosed on annual statements. If conflicts exist, the conflict is disclosed and the individual with the conflict does not participate or vote on activities where a conflict of interest is present.

Form 990, Part VI, Line 19 Required documents available to the public

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Ephraim Mcdowell Health Care Foundation Inc
EIN
61-1229333
Phone
8592392424
Address
217 SOUTH THIRD STREET, DANVILLE, KY 40422

Signing Officer

Name
Daniel Mckay
Title
President/CEO
Phone
8592392424
Signed
2025-11-01
Discuss with paid preparer
Yes

Organization Details

Formed
1991
Legal Domicile
Ky
Voting Board Members
11
Independent Board Members
7
Employees
1

Preparer

Firm
Forvis Mazars LLP
Address
1222 Demonbreun St Suite 950, Nashville, TN 37203-3357
Preparer
Jeff Smith
Phone
6154549800
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A COMMON PAYMASTER

Ephraim mcdowell regional medical center is the common paymaster for ephraim mcdowell health care foundation, inc. All salaries and payroll taxes are reported on a consolidated form 941. The ein on the form 941 is 61-0492356.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in beneficial interest in perpetual trusts - 115141;

Financial Statement Notes

Schedule D, Part X, Line 2 INCOME TAX

The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under fin48 (asc 740). Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part V, Line 4 Intended uses of endowment funds

Endowment funds are used to provide community good works and projects as approved by the foundation board.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0The Ephraim McDowell Health Care Foundation (EMHCF) is an organization whose primary mission is to raise, invest, and distribute funds in support of Ephraim McDowell Health's tax-exempt health care services in Boyle, Casey, Garrard, Lincoln, Mercer, and Washington counties-the primary service area of Ephraim McDowell Health (EMH). The Foundation accomplishes this purpose through fundraising events, direct appeals, and grant writing. Its Earnings from investments are directed to EMH entities for capital improvements, services, products, education, and scholarships that otherwise would not be possible without the Foundation. A volunteer, uncompensated community-based board of directors governs the Foundation and determines how funds are used to enhance health care across the region. The Chairperson of EMHCF reports Foundation activities to the EMH Board. Programs supported in FY24 include the following: * AED Grant Program - Provides automated external defibrillator devices to nonprofit and for-profit entities within the service region that lack adequate access. The grant also covers staff training at the award sites. In FY24, EMHCF awarded $7,735.50 in devices, placing one new device in each of the six counties served. * Chaplain's Discretionary Fund - Assists patients discharged from EMH hospitals who cannot afford medications, durable medical equipment, or other essential supplies needed for recovery. In FY24, EMHCF received $409 in funding for this program and disbursed $25,304.25 to support patients. * Community Health Services Support - The EMH Community Services Department provides screenings, health risk assessments, and coalition-building to address community needs. In FY24, EMHCF provided $40,401.70 in funding for programs addressing pediatric substance abuse, tobacco prevention, and mental health resources in all six counties. These efforts addressed four of the five highest-priority health concerns identified in the 2023 Community Health Needs Assessment: Substance Abuse, Mental Health, Tobacco Use, and Cancer. * Kids Can Do Pediatric Therapy Center - Programs include Camp Can Do (day camp for children with special needs), Camp Healthy Kids (for children with food aversions), Sensory Santa (holiday experience for children with sensory issues), an adaptive bike program, and an orthotic shoe program. In FY24, EMHCF received $13,345 in contributions for these initiatives and provided $29,706 in philanthropic support. * Associates Assistance First Fund - Established in October 2020 to provide support for EMH associates facing immediate or catastrophic needs. In FY24, EMHCF received $48,462 in funding for this program and paid out $9,484.98 in assistance. * Technology and Patient Safety - In FY24, EMHCF funded $53,000 for a Surgi-Count sponge retainment system to enhance surgical patient safety, and $6,219.28 for two transport wheelchairs at EMH James B. Haggin Hospital. * Cancer Program - Provides complimentary McDowell Wellness Center memberships for cancer survivors who are EMH patients. In FY24, EMHCF funded $560 for this initiative. * Maternity and Infant Support - In FY24, the Foundation provided $2,422.32 to support maternity fairs and breastfeeding programs for new and expectant mothers and infants. * Scholarships - To encourage the next generation of health care professionals, EMHCF awarded $1,500 in scholarships in FY24 to students pursuing degrees in health care. * Behavioral Health Expansion - In FY24, EMHCF awarded $58,873.40 to support expansion of EMH Outpatient Behavioral Health, increasing access to behavioral health and substance abuse services, two of the most pressing needs identified in the Community Health Needs Assessment. EMHCF collaborates with other reputable organizations in the region to increase the benefits that EMH facilities provide. FY24 annual partners include Farmers National Bank, Danville Office Equipment, Trim Masters Charitable Foundation, Kentucky Trust Co., Messer Construction, Com
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